Laine Blank Way
Family Medicine in Manning, SC. Individual provider (NPI-1).
NPI number1114487519
StatusActive
Last updated in NPPESJul 6, 2022
Details
- NPI
- 1114487519
- Entity type
- Individual (NPI-1)
- Name
- Laine Blank Way
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2019
- Certification date
- Jul 6, 2022
- Last updated
- Jul 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 82721 | SC | Yes |
Practice location
50 E Hospital St Ste 3Manning, SC 29102-3149
Phone 803-435-8828 · Fax 843-435-2239
Mailing address
Po Box 3239Florence, SC 29502-3239
Phone 803-435-8828 · Fax 803-435-2239
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